﻿<link href="st1.css" rel="stylesheet" type="text/css" />
<table width="314" border="0" cellpadding="0" cellspacing="0" bgcolor="#FFFFFF"  class="test">
    <tr>
        <td width="314" bgcolor="#FEFCE0"><span class="st2">*</span><span class="st1">Дата<br/>
                                                                        <input class="bodyt" name="form_required_id" type="text" value=""/>
                                                                    </span></td>
    </tr>
    <tr>
        <td height="41" bgcolor="#FEFCE0"><span class="st2">*</span><span class="st1">Фирма<br/>
                                                                        <input class="bodyt" name="form_required_path" type="text" value="" size="50"/>
                                                                    </span><span class="st1">
                                                                           </span></td>
    </tr>
    <tr>
        <td height="41" bgcolor="#FEFCE0"><span class="st2">*</span><span class="st1">№ Счета/Накладной<br/>
                                                                        <input class="bodyt" name="form_required_q1" type="text" value="" size="50"/>
                                                                    </span><span class="st1">
                                                                           </span></td><td width="1"></td>
    </tr>
    <tr>
        <td bgcolor="#FEFCE0"><span class="st1"><span class="st2">*</span>Контактное лицо<br/>
                                  <input class="bodyt" name="form_required_qe" type="text" value="" size="50"/>
                              </span></td>
    </tr>
    <tr>
        <td bgcolor="#FEFCE0"><span class="st1"><span class="st2">*</span>Оплата доставки(Сумма)<br/>
                                  <input class="bodyt" name="form_required_path4" type="text" value="" size="50"/>
                              </span></td>
    </tr>
    <tr>
        <td bgcolor="#FEFCE0" class="st1">Другая полезная информация<br />     
            <textarea id="form_info" name="form_info"></textarea>
        </td>
    </tr>
</table>
<span class="st4">*</span> <span class="st3">помечены поля, обязательные к заполнению </span>